Risks, diagnosis and outcomes of invasive fungal infections in haematopoietic stem cell transplant recipients

Penelope D. Barnes, Kieren A. Marr

Research output: Contribution to journalReview article

122 Scopus citations

Abstract

Invasive fungal infections (IFIs) continue to cause considerable morbidity and mortality in haematopoietic stem cell transplant (HSCT) recipients. This review focuses on the risks for, and diagnosis of, IFIs (candidiasis, aspergillosis and other mould infections), and factors that affect current outcomes. Diagnosis of IFI is difficult, with the sensitivity of the gold standard tests (culture and histopathology) often <50%. Therefore, physicians rely on a constellation of clinical signs, radiography, culture, histopathology and adjunctive tests to establish diagnosis. HSCT recipients often have multiple co-morbidities, and understanding the current outcomes and prognostic variables is therefore important for overall management. This paper reviews historical trends and current data.

Original languageEnglish (US)
Pages (from-to)519-531
Number of pages13
JournalBritish Journal of Haematology
Volume139
Issue number4
DOIs
StatePublished - Nov 1 2007

Keywords

  • Candida
  • Diagnosis
  • Mould
  • Prognosis
  • Transplant

ASJC Scopus subject areas

  • Hematology

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